Individual
CHRISTINA M MITCHEM-WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 TURTLE CREEK CIR, STE F, SWANTON, OH 43558-8537
(419) 825-5151
(419) 825-5901
Mailing address
1 TURTLE CREEK CIR, STE F, SWANTON, OH 43558-8537
(419) 825-5151
(419) 825-5901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35083188
OH
208000000X
Pediatrics Physician
Primary
35083188
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2438836
—
OH
Enumeration date
12/05/2005
Last updated
07/31/2012
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